PDF(Pubmed)
Abstract：
UNASSIGNED: To conduct a randomized controlled trial to compare 3 implementation strategies and the impact of facilitated referrals on linkage of Federally Qualified Health Center patients to the Illinois Tobacco Quitline (ITQL).
UNASSIGNED: This study will be a hybrid type 3 implementation-effectiveness trial guided by 2 implementation science frameworks: reach, effectiveness, adoption, implementation, and maintenance and exploration preparation implementation sustainment. We will evaluate whether sending provider messages through the patient electronic health portal increases patient linkage to the ITQL. We will (1) randomly assign all eligible patients to receive 1 of 3 messages (information about quitting, advice to quit, and advice to quit or cut down), and (2) we will offer a facilitated linkage to the ITQL. For patients who opt into a facilitated referral, we will share their contact information with the ITQL, who will contact them. Four weeks after the initial message, patients who expressed interest in services but were not reached by the ITQL will be rerandomized to 1 of 2 arms, an offer to reconnect to the ITQL or an offer to engage a peer navigator who can help them reconnect to the ITQL. We will assess the implementation strategies\' reach, adoption, linkage, and sustainability with the ITQL.
UNASSIGNED: This study will provide a new cost-effective and efficient model to link low-income smokers to state tobacco quitlines. Message delivery via patient health portals has important implications for addressing other tobacco-related morbidities.
UNASSIGNED: This study will be a hybrid type 3 implementation-effectiveness trial guided by 2 implementation science frameworks: reach, effectiveness, adoption, implementation, and maintenance and exploration preparation implementation sustainment. We will evaluate whether sending provider messages through the patient electronic health portal increases patient linkage to the ITQL. We will (1) randomly assign all eligible patients to receive 1 of 3 messages (information about quitting, advice to quit, and advice to quit or cut down), and (2) we will offer a facilitated linkage to the ITQL. For patients who opt into a facilitated referral, we will share their contact information with the ITQL, who will contact them. Four weeks after the initial message, patients who expressed interest in services but were not reached by the ITQL will be rerandomized to 1 of 2 arms, an offer to reconnect to the ITQL or an offer to engage a peer navigator who can help them reconnect to the ITQL. We will assess the implementation strategies\' reach, adoption, linkage, and sustainability with the ITQL.
UNASSIGNED: This study will provide a new cost-effective and efficient model to link low-income smokers to state tobacco quitlines. Message delivery via patient health portals has important implications for addressing other tobacco-related morbidities.
摘要：
■进行一项随机对照试验，以比较3种实施策略以及促进转诊对联邦合格健康中心患者与伊利诺伊州烟草Quitline（ITQL）的联系的影响。
■本研究将是由2个实施科学框架指导的混合3型实施有效性试验：达到，有效性,收养,实施，以及维护和勘探准备实施维持。我们将评估通过患者电子健康门户发送提供者消息是否会增加患者与ITQL的联系。我们将（1）随机分配所有符合条件的患者，以接收3条消息中的1条（有关戒烟的信息，建议戒烟,并建议退出或削减)，(2)我们将提供与ITQL的便利联系。对于选择转诊的患者，我们将与ITQL分享他们的联系信息，谁会联系他们。最初的信息发布四周后，表示对服务有兴趣但未通过ITQL联系的患者将被重新随机分配到2组患者中的1组,重新连接到ITQL的提议或邀请可以帮助他们重新连接到ITQL的对等导航器的提议。我们将评估实施战略的范围，收养,联动,以及ITQL的可持续性。
■这项研究将提供一种新的具有成本效益和效率的模型，将低收入吸烟者与州烟草戒烟线联系起来。通过患者健康门户传递消息对于解决其他与烟草相关的疾病具有重要意义。
■本研究将是由2个实施科学框架指导的混合3型实施有效性试验：达到，有效性,收养,实施，以及维护和勘探准备实施维持。我们将评估通过患者电子健康门户发送提供者消息是否会增加患者与ITQL的联系。我们将（1）随机分配所有符合条件的患者，以接收3条消息中的1条（有关戒烟的信息，建议戒烟,并建议退出或削减)，(2)我们将提供与ITQL的便利联系。对于选择转诊的患者，我们将与ITQL分享他们的联系信息，谁会联系他们。最初的信息发布四周后，表示对服务有兴趣但未通过ITQL联系的患者将被重新随机分配到2组患者中的1组,重新连接到ITQL的提议或邀请可以帮助他们重新连接到ITQL的对等导航器的提议。我们将评估实施战略的范围，收养,联动,以及ITQL的可持续性。
■这项研究将提供一种新的具有成本效益和效率的模型，将低收入吸烟者与州烟草戒烟线联系起来。通过患者健康门户传递消息对于解决其他与烟草相关的疾病具有重要意义。
